Question

A nurse is caring for a client with a pulmonary embolism who weighs $85.4\text{ kg}$. The client is receiving a continuous intravenous heparin infusion. The current infusion rate is $14\text{ units/kg/hr}$. The heparin is supplied as $25,000\text{ units}$ in $250\text{ mL}$ of 5% dextrose in water.

The client's morning activated partial thromboplastin time (aPTT) is $39\text{ seconds}$. According to the hospital's weight-based heparin protocol, for an aPTT between $36$ and $44\text{ seconds}$, the nurse must administer an intravenous bolus of $40\text{ units/kg}$ and increase the continuous infusion rate by $2\text{ units/kg/hr}$.

Calculate the client's new continuous infusion pump rate in $\text{mL/hr}$. (Record your answer using one decimal place.)